ArticlePatient education and counseling2011
Effects of counseling techniques on patients' weight-related attitudes and behaviors in a primary care clinic.
Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Students' Report of Preceptor Weight Management Counseling at Eight U.S. Medical Schools.American journal of preventive medicine · 2018Trial
- Teaching Physicians Motivational Interviewing for Discussing Weight With Overweight Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Assessment and model guided cancer screening promotion by village doctors in China: a randomized controlled trial protocol.BMC cancer · 2015Trial
- Physical activity counseling intervention at a federally qualified health center: improves autonomy-supportiveness, but not patients' perceived competence.Patient education and counseling · 2013Trial
- Parental perceptions of a motivational interviewing-based pediatric obesity prevention intervention.Clinical pediatrics · 2013Trial
- Behavior Puzzle: Nonpharmacological Behavior Management.International journal of clinical pediatric dentistry · 2025Review
- Motivational interviewing for the management of child and adolescent obesity: a systematic literature review.BJGP open · 2023Article
- Development and Evaluation of a Health Behavior Change Clinic in Primary Care: An Interdisciplinary Partnership.Journal of clinical psychology in medical settings · 2023Article
- Intervention Fidelity of Telephone Motivational Interviewing On Physical Activity, Fruit Intake, and Vegetable Consumption in Dutch Outpatients With and Without Hypertension.International journal of behavioral medicine · 2023Article
- Consulting Obese and Overweight Patients for Nutrition and Physical Activity in Primary Healthcare in Poland.International journal of environmental research and public health · 2022Article
- Preoperative communication between anaesthetists and patients with obesity regarding perioperative risks and weight management: a structured narrative review.Perioperative medicine (London, England) · 2020Review
- Parents' experiences of a health dialogue in the child health services: a qualitative study.BMC health services research · 2019Article
- Center Variation and Risk Factors for Failure to Complete 6 Month Postdonation Follow-up Among Obese Living Kidney Donors.Transplantation · 2019Article
- Toward an Emerging Role for Motivational Interviewing in Primary Care.Current psychiatry reports · 2018Review
- Treatment fidelity in the Camden Weight Loss (CAMWEL) intervention assessed from recordings of advisor-participant consultations.BMC obesity · 2018Article
- Article
- Starting the conversation: Patient initiation of weight-related behavioral counseling during pregnancy.Patient education and counseling · 2016Article
- Eating behaviors among low-income obese adults in the United States: Does health care provider's advice carry any weight.Preventive medicine · 2016Article
- Racial and Ethnic Disparities in Dietary Intake among California Children.Journal of the Academy of Nutrition and Dietetics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveExamine primary care physicians' use of counseling techniques when treating overweight and obese patients and the association with mediators of behavior change as well as change in nutrition, exercise, and weight loss attempts.
methodsWe audio recorded office encounters between 40 physicians and 461 patients. Encounters were coded for physician use of selected counseling techniques using the Motivational Interviewing Treatment Integrity (MITI) scale. Patient motivation and confidence as well as Fat and Fiber Diet score (1-4), Framingham physical activity questionnaire (MET-minutes), and weight loss attempts (yes/no) were assessed by surveys. Generalized linear models were fit, including physician, patient, and visit level covariates.
resultsPatients whose physicians were rated higher in empathy improved their Fat and Fiber intake 0.18 units (95% CI 0, 0.4). When physicians used "MI consistent" techniques, patients reported higher confidence to improve nutrition (OR 2.57, 95% CI 1.2, 5.7).
conclusionWhen physicians used counseling techniques consistent with MI principles, some of their patients' weight-related attitudes and behaviors improved. PRACTICE IMPLICATIONS: Physicians may not be able to employ formal MI during a clinic visit. However, use of counseling techniques consistent with MI principles, such as expression of empathy, may improve patients' weight-related attitudes and behaviors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.